CPT code 22867 denotes open insertion of an interlaminar stabilization or interspinous distraction device (IPD) with attachment to adjacent lumbar spinous processes, with or without decompression, performed at a single lumbar level without fusion. Nationally, this code captures a distinct category of lumbar spine procedures focused on limiting painful motion or distracting neural foramina to relieve nerve root compression while preserving segmental mobility. Its relevance spans surgical practice patterns, coverage policy, and hospital billing for spine care.

Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise summary of clinical context for the procedure, typical sites of service, and the common modifier landscape. The publication outlines typical utilization benchmarks, payer coverage considerations, and coding guidance to support accurate claim submission and administrative review. It also highlights clinical indications and the distinction between device insertion without fusion versus fusion procedures, which affects coding and payment pathways.

This report is designed for clinicians, coding professionals, and policy analysts seeking a national overview of CPT code 22867, including practical billing considerations, payer coverage patterns, and the clinical rationale behind the procedure.